Asif Azami

ID: 27445
Procurement
Professor: Shoaib Rahim
April 18, 2020
Sardar Mohammad Daud Khan National Military Hospital (400-beds)
Consolidated Procurement Annual Plan
For Year - 2021
Acknowledgment
On behalf of the Procurement and Logistics Department, of Sardar Mohammad Daoud Khan
National Military Hospital allow me to pass my sincere appreciation to all those who worked
tirelessly to ensure the completion and publication of the Consolidated Annual Procurement for
the hospital within the given time. First and foremost, I would like to thank the hospital’s
orthopedic and surgery services chief of the hospital Col. ‘Nek Mohammad Shinwari’ for his on-
time response and assistance in the development of this report. Secondly, I would like to
acknowledge the pharmacy division, health service providers, finance division, operations
division, and security division for supporting us in data collection, analysis, and review.
Furthermore, I would like to thank all members of the Sardar Mohammad Daoud Khan National
Military Hospital for their cooperation and on-time response in the preparation of this plan for
the hospital. Lastly, I would like to appreciate all external partners, suppliers, and donors who
have continually showed their support in the development of a consolidated procurement plan for
the Sardar Mohammad Daoud Khan National Military Hospital.

Background

Historically the Sardar Mohammad Daoud Khan National Military Hospital, often recalled to as
the National Military Hospital in Afghanistan with four hundred beds is considered as a crown
jewel by providing the largest military medical facility to members of the Afghan National
Army and other government officials since 1973. The hospital also contains a teaching department
that is mentored by American military doctors and other U.S. personnel by providing medical
education and training for the capacity development of the future and current health professionals
and provide the platform for conducting researches inside the country. According to a report, the
professional doctors execute more than fifty operations in various orthopedic, neuro-surgery,
urology, and other sections daily and accelerates the best service to the Afghan National Defense
and Security Forces (ANDSF) officers, soldiers and their families in National military hospital.

To facilitate and provide an on-time response to all wounded soldiers in the Sardar Mohammad
Daoud Khan National Military Hospital (400 beds), the procurement & logistic department
evaluates and analyzes the list of all needed medical equipment and medicines according to
mandates of the hospital and National Procurement Authority (ANP).
In this regard, the procurement department developed the consolidated annual procurement plan
to purchase all the required items for the year 2021 with due respect to proper documentation,
processes, and procedures of the procurement department in a military hospital (400 beds).

For better outcome and result, the implementation of this consolidated plan will be monitored on
a biweekly basis by the internal control department (ICD) of the hospital and the monitoring
report of ICT will be reviewed by an approved committee composed of the different stakeholders
such as representatives of the national procurement authority (ANP), ministry of defense (mod)
and senior management team (SMT) of the hospital. All committee members will be having a
proper Terms of Reference (ToR) and/or Job description for their specific work and limited
authority. Additionally, the committee will outline and identified important reform initiatives for
improving the procurement practices and strengthening procurement management functions
throughout the procurement cycle in the health sector of the military hospital (400 beds).
Additionally, it will be also the responsibility of ICD and the committee to evaluate how well the
procurement department has considered the Best Value for Money during the procurement
process. The purpose of the Consolidated Annual Procurement Plan for 2021 is to understand how
well effectively and efficiently the budget has been utilized during the procurement of goods and
services for the Sardar Mohammad Daoud Khan National Military Hospital.
Objectives:

The main objects of the consolidated annual procurement plan for Sardar Mohammad Daoud
Khan National Military Hospital are:

 To keenly supervise and modify the processes of procurement of goods and services of
all divisions of the hospital
 To consider Best Value for Money Approach in the procurement process
1. In hence the mechanism of tracking and tracing all products & services
a. Purchases procedures and documentations
b. Timing standards for deliveries of goods
c. Quality control mechanism
d. Supplies payments protocols
2. The involvement of the steering committee in procurement for better transparency and
accountability of the public procurement of the hospital.
3. Evaluate how well the NPA norms are considered in implementation during the
procurement
4. Asset disposal policy implementation and proper mechanism.
5. Independent annual physical count of inventory
a. Policy “an independent physical count of inventories must be carried out at least
annually”.The logic behind the annual physical independent count of asset is to make
sure a. all the changes made throughout the year are reflected on the asset register b.
any asset physically present are recorded in the asset register c. any asset not recorded
in the asset register but physically present are listed for further verification and inclusion
in the asset register and d. the asset register reflects current location of the assets and
any older items listed disposal.

Challenges/Barriers

During the development of the consolidated annual procurement plan, the procurement team
faced the following challenges:

 Lack of qualitative and quantitative documents

 Lack of interest by the officials in sharing the related information and on-time response
  Mismanagement of stock (supply of goods and drugs) and irresponsibility of tasks by
some employees during data collection and analysis.
 A load of requisitions from staff and management of need base distribution of equipment
among the sectors in the hospital.
 Challenge with the tagging system and updating the databases regularly

Data collection:

During the data collection process, the procurement officials collected the required information
for preparing the consolidated procurement annual plan from each and every department of the
hospital. As the military hospital (400beds) is mostly treating all injured and wounded patients,
so the procurement department prioritizes that surgical equipment and drugs which are critically
required for immediate and urgent treatments. The analysis of the consolidated procurement plan
will be beneficial for identifying the magnitude of economies of scale for drugs and equipment
and their better usage in procurement. In this regard, most of the information received by the
procurement department was on:

 Need assessment of
o Quantity and Quality Drugs required for patients
o Term of Reference (ToR), Scope of Work (SoW) and specification of goods for
equipment and drugs
1. List of goods present in the hospital
a. Verified list of goods and drugs in usable condition present in the hospital
b. Verified list of goods and drugs expired and garbage
c. Requisition list for new equipment and drugs for the different sectors in the
hospital.
2. List of suppliers
a. List of internal suppliers
i. Shipment time, date, and costs of expenditures
b. List of external suppliers
i. Shipment time, date, and costs of expenditures
  
Budget Analysis and Timeline 
 
Sr. Item description Volume Expected cost Estimated Cost Priority Publish Openin Evaluation Signing of Aw
No in Afs in Afs category Date g data Completio contract co
n
1 Procurement of X - RAY 5 50,000,000 High 10-Jan-20 19-Jan- 29-Jan-20 8-Feb-20 8-F
(Dental X-ray, Dental X- 1,250,000.00 .00 20
ray film processor,
Mobile X -ray unit,
Screening unit, Ultra
sound unit(general)
3 LABORATORY

Procurement of Analytic 2 High 8-Feb-20 16-Feb- 20-Feb-20 28-Feb-20 28-

balance 35,000 70,000 20
Procurement of Binocular 9 High 9-Feb-20 17-Feb- 26-Feb-20 29-Feb-20 29-
microscope 33,071 297,639 20
Procurement of Blood 2 High 10-Feb-20 18-Feb- 27-Feb-20 1-Mar-20 1-M
bank refrigerator 250,000 500,000 20
Procurement of Blood cell 2 Medium 11-Feb-20 19-Feb- 28-Feb-20 2-Mar-20 2-M
counter, Electrical 500,644 1,001,288 20
Procurement of 3 High 12-Feb-20 20-Feb- 29-Feb-20 3-Mar-20 3-M
Calorimeter 33,071 99,213 20
Procurement of Centrifuge 5 High 13-Feb-20 21-Feb- 1-Mar-20 10-Mar-20 10-
65,000 325,000 20
Procurement of Glucose 5 Poor 14-Feb-20 22-Feb- 2-Mar-20 11-Mar-20 11-
analyzer 6,500 32,500 20
Procurement of 2 High 15-Feb-20 23-Feb- 3-Mar-20 12-Mar-20 12-
Haemoglobinometer, 292,277 584,554 20
electronic
Procurement of Weighing 2 High 16-Feb-20 24-Feb- 4-Mar-20 13-Mar-20 13-
scale adult 9,800 19,600 20
Procurement of HIV 1 High 17-Feb-20 25-Feb- 5-Mar-20 14-Mar-20 14-
screening machine/ Test 1,500,000 1,500,000 20
kits
Procurement of NSV Kit- 320000 1,600,000 Poor 2-Apr-20 10-Apr- 20-Apr-20 30-Apr-20 30-
150, Minilap Kit200,MVA 5.00 .00 20
Kit-500,
Syringe20ml,Recanalizatio
n Set-12 abd Silicon Ring
Pessary-1250 )
Procurement of 10 500,0 5,000,000 High 3-Apr-20 11-Apr- 21-Apr-20 1-May-20 1-M
Cryomachine-45 00.00 .00 20
Procurement of Vacuum 100 2,300,0 230,000,000 High 4-Apr-20 12-Apr- 22-Apr-20 2-May-20 2-M
Extractor-100 00.00 .00 20
Procurement of Hot air 2 Poor 5-Apr-20 13-Apr- 23-Apr-20 3-May-20 3-M
oven 343,907 687,814 20
Procurement of Bilirubin 2 High 6-Apr-20 14-Apr- 24-Apr-20 4-May-20 4-M
meter 190,000 380,000 20
Procurement of 3 Poor 7-Apr-20 15-Apr- 25-Apr-20 5-May-20 5-M
Anaesthetic machine 2,650,991 7,952,972 20
Procurement of 3 High 8-Apr-20 16-Apr- 26-Apr-20 6-May-20 6-M
Defibrillator 265,118 795,353 20
Procurement of ECG 3 High 22-May-20 1-Jun- 10-Jun-20 20-Jun-20 20-
Monitor 742,277 2,226,832 20

PHARMACY High 24-May-20 3-Jun- 12-Jun-20 22-Jun-20 22-

20
Procurement of Distiller 2 High 25-May-20 4-Jun- 13-Jun-20 23-Jun-20 23-
100,000 200,000 20
Procurement of Fridge, 3 Medium 26-May-20 5-Jun- 14-Jun-20 24-Jun-20 24-
Pharmacetical 70,000 210,000 20
Procurement of Balance, 2 High 27-May-20 6-Jun- 15-Jun-20 25-Jun-20 25-
precision 85,000 170,000 20
Procurement of Balance, 2 High 28-May-20 7-Jun- 16-Jun-20 26-Jun-20 26-
heavy duty 50,000 100,000 20
Procurement of Motor & 2 High 29-May-20 8-Jun- 17-Jun-20 27-Jun-20 27-
pestle 1,500 3,000 20
Procurement of Tablet 2 High 1-Jul-20 15-Jul- 22-Jul-20 5-Aug-20 5-A
counter 15,000 30,000 20
AFG/MH/04/20 5000 10 500,000 High 4-Jan-20 13-Jan- 23-Jan-20 2-Feb-20 2-F
Procurement of Urinary 0.00 .00 20
Test Kit with containe
Procurement of Test kit for 5000 23 1,150,000 High 5-Jan-20 14-Jan- 24-Jan-20 3-Feb-20 3-F
glucomete 0.00 .00 20
Procurement of AntiRabies 3000 14 420,000 High 6-Jan-20 15-Jan- 25-Jan-20 4-Feb-20 4-F
Vaccine350,00 0.00 .00 20
Procurement of Anti Snake 12000 20 2,400,000 High 7-Jan-20 16-Jan- 26-Jan-20 5-Feb-20 5-F
Venom Serum 0.00 .00 20
Procurement of Long 1000 50,0 50,000,000 High 8-Jan-20 17-Jan- 27-Jan-20 6-Feb-20 6-F
Lasting Insectcides Treated 00.00 .00 20
Bed
Procurement of Test Kit 240 23 55,200 High 9-Jan-20 18-Jan- 28-Jan-20 7-Feb-20 7-F
0.00 .00 20
Procurement of 50000 25 12,500,000 High 10-Jan-20 19-Jan- 29-Jan-20 8-Feb-20 8-F
InsexticidesDeltramethrin 0.00 .00 20
MORTUARY

Procurement of Autopsy High 7-Jul-20 21-Jul- 28-Jul-20 11-Aug-20 11-

table 80,000 160,000 650,000 20
Procurement of Autopsy High 8-Jul-20 22-Jul- 29-Jul-20 12-Aug-20 12-
Instruments 50,000 100,000 48,000 20
Procurement of Cold room Medium 9-Jul-20 23-Jul- 30-Jul-20 13-Aug-20 13-
Units 2,000,00 4,000,000 32,000 20
0
Procurement of High 10-Feb-20 18-Feb- 27-Feb-20 1-Mar-20 1-M
Examination Lamp 36,770 73,540 20
Extractor, Fan Medium 11-Feb-20 19-Feb- 28-Feb-20 2-Mar-20 2-M
25,000 50,000 30,000 20
Procurement of 2 High 12-Feb-20 20-Feb- 29-Feb-20 3-Mar-20 3-M
Brondoscope, adult 12,000 24,000 20
Procurement of 2 High 13-Feb-20 21-Feb- 1-Mar-20 10-Mar-20 10-
Brondoscope, paed 12,000 24,000 20
Procurement of 2 Poor 14-Feb-20 22-Feb- 2-Mar-20 11-Mar-20 11-
Telespectomy set, adult 25,000 50,000 20
Procurement of 2 High 15-Feb-20 23-Feb- 3-Mar-20 12-Mar-20 12-
Telespectomy set, paed 20,000 40,000 20
Procurement of 2 High 16-Feb-20 24-Feb- 4-Mar-20 13-Mar-20 13-
Oephagoscope 30,000 60,000 20
Procurement of Otoscope 2 High 17-Feb-20 25-Feb- 5-Mar-20 14-Mar-20 14-
19,500 39,000 20
Procurement of 2 Poor 2-Apr-20 10-Apr- 20-Apr-20 30-Apr-20 30-
Tonsilectomy 35,000 70,000 20
Procurement of BP 2 High 3-Apr-20 11-Apr- 21-Apr-20 1-May-20 1-M
machine 1,800 3,600 20
Procurement of 2 High 4-Apr-20 12-Apr- 22-Apr-20 2-May-20 2-M
Stethoscope 600 1,200 20
Procurement of Sterilising 2 Poor 5-Apr-20 13-Apr- 23-Apr-20 3-May-20 3-M
drum 3,182 6,363 20
Procurement of Portable 2 High 6-Apr-20 14-Apr- 24-Apr-20 4-May-20 4-M
lamp 36,770 73,540 20
Procurement of Cellman 2 Poor 7-Apr-20 15-Apr- 25-Apr-20 5-May-20 5-M
hooks 6,200 12,400 20
Procurement of Laryngeal 2 High 8-Apr-20 16-Apr- 26-Apr-20 6-May-20 6-M
mirror 7,500 15,000 20
Procurement of 3 High 22-May-20 1-Jun- 10-Jun-20 20-Jun-20 20-
Fetoscope 150 450 20
Procurement of 2 Medium 23-May-20 2-Jun- 11-Jun-20 21-Jun-20 21-
Stethoscope, baby 4,500 9,000 20
Procurement of Suction 3 High 24-May-20 3-Jun- 12-Jun-20 22-Jun-20 22-
machine, electrical 70,000 210,000 20
Procurement of 1 High 25-May-20 4-Jun- 13-Jun-20 23-Jun-20 23-
Defibrillator 265,118 265,118 20
Procurement of ECG 2 Medium 26-May-20 5-Jun- 14-Jun-20 24-Jun-20 24-
Monitor 742,277 1,484,555 20
Procurement of 2 High 27-May-20 6-Jun- 15-Jun-20 25-Jun-20 25-
Laryngoscope 20,328 40,656 20
Procurement of 3 High 28-May-20 7-Jun- 16-Jun-20 26-Jun-20 26-
Autoclaving Drums 3,182 9,545 20
Procurement of Oxygen 2 High 29-May-20 8-Jun- 17-Jun-20 27-Jun-20 27-
concentrators 128,600 257,200 20
Procurement of 4 High 1-Sep-20 15-Jul- 22-Jul-20 5-Aug-20 5-A
Resuscitation trays 5,500 22,000 20
Procurement of X ray 2 High 2- Sep -20 16-Jul- 23-Jul-20 6-Aug-20 6-A
Viewers 30,000 60,000 20
ORTHOPAEDIC
TECHNOLOGY
Procurement of Work 1 High 4- Sep -20 18-Jul- 25-Jul-20 8-Aug-20 8-A
bench 20,000 20,000 20
Procurement of 1 High 5- Sep -20 19-Jul- 26-Jul-20 9-Aug-20 9-A
Examination couch 38,000 38,000 20
Procurement of Electric 1 High 6- Sep -20 20-Jul- 27-Jul-20 10-Aug-20 10-
leather sewing machine 200,000 200,000 20
Procurement of Parallel 2 High 7-Jul-20 21-Jul- 28-Jul-20 11-Aug-20 11-
bar 10,000 20,000 20
Procurement of Electric 1 High 8- Sep -20 22-Jul- 29-Jul-20 12-Aug-20 12-
oven 100,000 100,000 20
Procurement of Electric 1 Medium 9- Sep -20 23-Jul- 30-Jul-20 13-Aug-20 13-
cast cutter 40,000 40,000 20
Procurement of Limb Vice 2
10,000 20,000
Procurement of Jig saw 1 High 9-Oct-20 18-Jan- 28-Jan-20 7-Feb-20 7-F
1,000 1,000 20
Procurement of Arc 1 High 10- Oct -20 19-Jan- 29-Jan-20 8-Feb-20 8-F
welding machine 80,000 80,000 20
Procurement of Column 1 Medium 11- Oct -20 20-Jan- 30-Jan-20 9-Feb-20 9-F
drill with quick chuck 60,000 60,000 20
Procurement of Heat gun 1
30,000 30,000
Procurement of Grinding 1 High 8- Oct -20 16-Feb- 20-Feb-20 28-Feb-20 28-
machine 50,000 50,000 20
Procurement of Vacuum 1 High 9- Oct -20 17-Feb- 26-Feb-20 29-Feb-20 29-
laminating machine 80,000 80,000 20
Procurement of Air 1 High 10- Oct -20 18-Feb- 27-Feb-20 1-Mar-20 1-M
compressor 60,000 60,000 20
Procurement of Shoe 1 Medium 11- Oct -20 19-Feb- 28-Feb-20 2-Mar-20 2-M
stretcher 100,000 100,000 20
Procurement of Prosthetic 1 High 12- Oct -20 20-Feb- 29-Feb-20 3-Mar-20 3-M
kit 100,000 100,000 20
Procurement of Orthotic 1 High 13-Nov-20 21-Feb- 1-Mar-20 10-Mar-20 10-
kit 70,000 70,000 20
Procurement of Engineer's 2 Poor 14- Nov -20 22-Feb- 2-Mar-20 11-Mar-20 11-
vice 10,000 20,000 20
Procurement of Drilling 1 High 15- Nov -20 23-Feb- 3-Mar-20 12-Mar-20 12-
machine 60,000 60,000 20
Procurement of Spoke 2 High 16- Nov -20 24-Feb- 4-Mar-20 13-Mar-20 13-
shave 5,000 10,000 20
Procurement of Bending 2 High 17- Nov -20 25-Feb- 5-Mar-20 14-Mar-20 14-
iron 4,000 8,000 20
Procurement of Router 1 Poor 2- Nov -20 10-Apr- 20-Apr-20 30-Apr-20 30-
machine 80,000 80,000 20
Procurement of PVA 2 High 3- Nov -20 11-Apr- 21-Apr-20 1-May-20 1-M
sealing iron 10,000 20,000 20
Procurement of Scissors 3 500 High 4- Nov -20 12-Apr- 22-Apr-20 2-May-20 2-M
1,500 20
 Procurement of Surform 2 Poor 5- Nov -20 13-Apr- 23-Apr-20 3-May-20 3-M
2,000 4,000 20
Furniture

Procurement of Bench 70 Poor 7-Apr-20 15-Apr- 25-Apr-20 5-May-20 5-M

600 42,000 20
Procurement of Cabinet, 15 High 8-Apr-20 16-Apr- 26-Apr-20 6-May-20 6-M
dangerous drug, 15,000 225,000 20
Procurement of 2 High 22-May-20 1-Jun- 10-Jun-20 20-Jun-20 20-
Conference table 25,000 50,000 20
Procurement of Clothing 165 Medium 23-May-20 2-Jun- 11-Jun-20 21-Jun-20 21-
lockers, metal 1,500 247,500 20
Procurement of Cupboard 45 High 24- Nov -20 3-Jun- 12-Jun-20 22-Jun-20 22-
10,000 450,000 20
Procurement of Desk, 70 High 25- Nov -20 4-Jun- 13-Jun-20 23-Jun-20 23-
single pedestal with 3 12,000 840,000 20
drawers
Procurement of 10 Medium 26- Nov -20 5-Jun- 14-Jun-20 24-Jun-20 24-
Emergency trolley 25,000 250,000 20
Procurement of Executive 10 High 27- Nov -20 6-Jun- 15-Jun-20 25-Jun-20 25-
chair 18,000 180,000 20
Procurement of Filling 80 High 28-May-20 7-Jun- 16-Jun-20 26-Jun-20 26-
cabinet 15,000 1,200,000 20
Procurement of Key 5 High 29- Nov -20 8-Jun- 17-Jun-20 27-Jun-20 27-
cabinet 3,000 15,000 20
Procurement of Mattress 375 High 1- Nov -20 15-Jul- 22-Jul-20 5-Aug-20 5-A
for adult bed 3,500 1,312,500 20
polyurethane foam
Grand Total Cost: 6,113,374,04  
5.00 AFN

References

(n.d.). Retrieved from https://www.futurehealthconcepts.com/blog/posts/10-pieces-of-medical-equipment-all-hospitals-need.html

(2020, April 24). Retrieved from http://www.bakhtarnews.com.af/eng/health/item/32326-sardar-daud-khan-hospital’s-orthopedic-ward-

executes-2000-operations-in-current-year.html

Daoud Khan Military Hospital. (2020, April 14). Retrieved from https://en.wikipedia.org/wiki/Daoud_Khan_Military_Hospital

PPDA Formats and Templates. (n.d.). Retrieved from https://www.ppda.go.ug/download-reports/legal/ppda-formats/

Sardar Mohammad Daud Khan hospital Archives. (n.d.). Retrieved from https://www.khaama.com/tag/sardar-mohammad-daud-khan-

hospital/

Wadsam. (2017, April 6). NATO pledges $2.7mn for reconstruction of military hospital in Kabul. Retrieved from

https://wadsam.com/afghan-business-news/nato-pledges-2-7mn-reconstruction-military-hospital-kabul-232/